Wilkes, Callie
Wilkes, Callie is an individual health care provider with primary practice located at 303 Harris Industrial Blvd Ste 3 , Vidalia GA 30474-8854. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Wilkes, Callie can be contacted via phone (912) 537-9355.Contact Information
Primary practice address
303 Harris Industrial Blvd Ste 3
Vidalia GA 30474-8854
Phone: (912) 537-9355
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 10722 | Georgia |
Profile Details
| NPI number | 1639831548 |
|---|---|
| LBN Legal business name | Wilkes, Callie |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 7th, 2021 |
| Last updated | Oct 7th, 2021 - about 4 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1639831548 | NPPES |
| Georgia | Other | 10722 | GA MEDICAL BOARD |
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